Individual
JESSICA J. PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.L.D.
Contact information
Practice address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-8183
(270) 444-8147
Mailing address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-8183
(270) 444-8147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2420
KY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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